Effects of shortening distal shunt catheters in children as relates to patient age and valve type: a simulation study with clinical implications

Shortening the distal catheter leads to increased drainage rates with significant ICP decreases in a 1-year-old child model setup. This effect is more pronounced for low opening pressure valves, unprotected valve systems, and model setups for older children. These results suggest that an SDC may promote overdrainage of variable magnitude depending on the age and height of the child and the valve setting. Therefore, an SDC should be avoided.

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Publication Details

Journal
Journal of Neurosurgery Pediatrics
Published
2025-07-12
DOI
https://doi.org/10.3171/2025.3.peds24409
Primary Topic
Cerebrospinal fluid and hydrocephalus
Type
article
Field-Weighted Citation Impact
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article

Effects of shortening distal shunt catheters in children as relates to patient age and valve type: a simulation study with clinical implications

Martin U. Schuhmann, Marianne Schmid Daners, Elisabeth Jehli, Sandra Fernandes Dias
Journal of Neurosurgery Pediatrics
Cerebrospinal fluid and hydrocephalus
article

Effects of shortening distal shunt catheters in children as relates to patient age and valve type: a simulation study with clinical implications

Martin U. Schuhmann, Marianne Schmid Daners, Elisabeth Jehli, Sandra Fernandes Dias
article en

Abstract

Shortening the distal catheter leads to increased drainage rates with significant ICP decreases in a 1-year-old child model setup. This effect is more pronounced for low opening pressure valves, unprotected valve systems, and model setups for older children. These results suggest that an SDC may promote overdrainage of variable magnitude depending on the age and height of the child and the valve setting. Therefore, an SDC should be avoided.

Journal of Neurosurgery PediatricsVol. 36(4)
University of Bern (CH), ETH Zurich (CH), University Hospital of Zurich (CH), University Children's Hospital Tübingen (DE), University Children's Hospital Zurich (CH), University of Tübingen (DE)
Openalex Percentile: Top 82%
Cerebrospinal fluid and hydrocephalus
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